Shadeana Nicholson, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CNA225687 Issued in FL

Practice address

4227 Larkin St
Sarasota, FL 34232-5024

Phone

(941) 549-4120

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Complete Care and Transportation

  • Non-emergency Medical Transport (VAN)
  • Sarasota, FL
  • NPI 1295435816

  Homemaker

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1992322952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 LARKIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325024",
            "telephone_number": "941-549-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 LARKIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342325024",
            "telephone_number": "941-549-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SHADEANA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "CNA225687",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA225687",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA225687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107572700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn B Nicholas (Maya), LMT
• Nicholas T Lahood PA
• Britanny Nichols, PA
• Cassandra Marie Nichols, FNP-BC
• Grace Nichols, CRNA
• Daniele Nichtern, CRNA
• Mary L Nicolini, L.C.S.W.
• Olga Nielsen, APRN
• Sophia Nieto, APRN
• Waleska Mariel Nieves-Yoder, LCSW

• Home Health Aide in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.